| Cloxacillin
Generic Name: cloxacillin (klox a SILL in)
Brand Names: Cloxapen, Tegopen
What is cloxacillin?
Cloxacillin is an antibiotic in the class of drugs called penicillins.
It fights bacteria in your body.
Cloxacillin is used to treat
many different types of infections caused by staphylococcus bacteria
("staph" infections).
Cloxacillin may also be used for
purposes other than those listed in this medication guide.
What is the most important information I should know about cloxacillin?
Take all of the cloxacillin that has been prescribed for you
even if you begin to feel better. Your symptoms may begin to
improve before the infection is completely treated. Do not
break, chew, open, or crush the capsules. Swallow them whole.
Cloxacillin may decrease the effectiveness of birth control
pills. Use a second method of birth control while taking cloxacillin
to protect against pregnancy.
Who should not take cloxacillin?
If you have ever had an allergic reaction to another penicillin
or to a cephalosporin, do not take cloxacillin unless your doctor
is aware of your allergy and monitors your therapy.
Before taking this medication, tell your doctor if you have kidney
disease, stomach or intestinal disease, or infectious mononucleosis.
You may not be able to take cloxacillin because of an increased
risk of side effects.
If you are a diabetic, some glucose urine tests may give false
positive results while you are taking cloxacillin.
Cloxacillin is in the FDA pregnancy category B. This means that
it is unlikely to harm an unborn baby. Do not, however, take cloxacillin
without first talking to your doctor if you are pregnant. It is
not known whether cloxacillin passes into breast milk. Do not take
this medication without first talking to your doctor if you are
breast-feeding a baby.
How should I take cloxacillin?
Take cloxacillin exactly as directed by your doctor. If you do
not understand these instructions, ask your pharmacist, nurse,
or doctor to explain them to you.
Take each dose with a full glass of water. Take cloxacillin on
an empty stomach 1 hour before or 2 hours after meals.
Do not drink juice or carbonated beverages (soda) with your dose
of cloxacillin. These beverages will decrease the effectiveness
of the drug.
Cloxacillin should be taken at evenly spaced intervals throughout
the day and night to keep the level in your blood high enough to
treat the infection.
Do not crush, chew, or open the capsules. Swallow them whole. Shake
the suspension well before measuring a dose. To ensure that you
get a correct dose, measure the liquid form of cloxacillin with
a dose-measuring spoon or cup, not a regular tablespoon. If you
do not have a dose-measuring device, ask your pharmacist where
you can get one. Take all of the cloxacillin that has been prescribed
for you even if you begin to feel better. Your symptoms may start
to improve before the infection is completely treated. Store the
capsules at room temperature and store the suspension in the refrigerator
for longer use. The suspension is good for 14 days if it is stored
in the refrigerator. Throw away any unused liquid after this amount
of time.
What happens if I miss a dose?
Take the missed dose as soon as you remember. However, if it is
almost time for your next dose, skip the dose you missed and take
only your next regularly scheduled dose. Do not take a double dose
of this medication unless otherwise directed by your doctor.
If you have only missed one dose, you can take the rest of your
scheduled doses for the day at evenly spaced intervals.
What happens if I overdose?
Seek emergency medical attention.
Symptoms of an cloxacillin overdose include muscle spasms or weakness,
pain or twitching, pain in the fingers or toes, loss of feeling
in the fingers or toes, seizures, confusion, coma, and agitation.
What should I avoid while taking cloxacillin?
Alcohol may irritate your stomach if taken with cloxacillin, so
use it with moderation.
Cloxacillin side effects
If you experience any of the following serious side effects, stop
taking cloxacillin and seek emergency medical attention:
an allergic reaction (shortness of breath; closing of your throat;
hives; swelling of your lips, face, or tongue; rash; or fainting);
seizures;
severe watery diarrhea and abdominal cramps; or
unusual bleeding or bruising.
Other, less serious side effects maybe more likely to occur. Continue
to take cloxacillin and talk to your doctor if you experience
mild nausea, vomiting, diarrhea, or abdominal pain;
white patches on the tongue (thrush/yeast infection);
itching or discharge of the vagina (vaginal yeast infection);
or
black, "hairy" tongue or sore mouth or tongue.
Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that
is especially bothersome.
What other drugs will affect cloxacillin?
Some drugs may decrease the effects of cloxacillin and prevent
it from properly treating your infection. Before taking cloxacillin,
tell your doctor if you are taking any of the following drugs:
cholestyramine (Questran) or colestipol (Colestid); or
another antibiotic (for the same or for a different infection)
such as erythromycin (Ery-Tab, E-Mycin, E.E.S., others), tetracycline
(Sumycin, others), minocycline (Minocin), doxycycline (Doryx, Vibramycin,
others), or any other.
Cloxacillin may decrease the effectiveness of birth control pills.
Use a second method of birth control while taking cloxacillin to
protect against pregnancy.
Cloxacillin increases the effects of methotrexate, and you may
need a dose adjustment during therapy with cloxacillin.
Cloxacillin also increases the side effects of allopurinol (Zyloprim)
and may cause a rash.
Probenecid (Benemid) increases the effects of cloxacillin. These
drugs may be used together for this purpose; however, be sure your
doctor is aware if you are taking probenecid. You may need a lower
dose of cloxacillin.
Drugs other than those listed here may also interact with cloxacillin.
Talk to your doctor and pharmacist before taking any prescription
or over-the-counter medicines.
Where can I get more information?
Your pharmacist has additional information about cloxacillin
written for health professionals that you may read. What does my medication look like?
Cloxacillin is available generically and with a prescription in
250 and 500 mg capsules and in a suspension formulation of 120
mg per 5 mL (1 teaspoon). Other brand or generic formulations may
also be available. Ask your pharmacist any questions you have about
this medication, especially if it is new to you.
Remember, keep this and all other medicines out of the reach
of children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner
Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee
is made to that effect. Drug information contained herein may be time sensitive.
Multum information has been compiled for use by healthcare practitioners and
consumers in the United States and therefore Multum does not warrant that uses
outside of the United States are appropriate, unless specifically indicated
otherwise. Multum's drug information does not endorse drugs, diagnose patients
or recommend therapy. Multum's drug information is an informational resource
designed to assist licensed healthcare practitioners in caring for their patients
and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare
practitioners. The absence of a warning for a given drug or drug combination
in no way should be construed to indicate that the drug or drug combination
is safe, effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the aid of
information Multum provides. The information contained herein is not intended
to cover all possible uses, directions, precautions, warnings, drug interactions,
allergic reactions, or adverse effects. If you have questions about the drugs
you are taking, check with your doctor, nurse or pharmacist.
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